| NPI | 1437638327 |
|---|---|
| Doing Business As | FOX PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEREMY MATTHEWS Owner 801-797-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |